NPI | 1992153365 |
---|---|
Former Name | JANELLE SELVIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201603547NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201042881RN) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2020-03-19 |